Organization
REGAN ANESTHESIA SERVICES APRN-CRNA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A REGAN APRN-CRNA (MANAGING MEMBER)
(701) 319-0092
Entity
Organization
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
419 W GRAY ST, NORMAN, OK 73069-7117
(405) 329-7300
(405) 364-5379
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
079253
OK
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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